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Author Topic: Seeking recommendations for London, UK surgeon for tibial/femoral torsion  (Read 285 times)

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Offline MissC

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Hello,

Has anyone had a successful surgery for tibia and femoral rotational/torsion issues recently in or near London, UK and can recommend a private surgeon for international patients.

I'm looking for surgeons with experience in knee, hip and leg pain caused by malalignment of leg bones and/or femur. My leg appears to be externally rotated and my femur might also have some internal rotation. My hips and one knee feel unstable as well.

If you can, please give your views on:
The process of diagnosis e.g. tests, scans, costs, which procedures you had done, kind of hardware used, number of days in hospital, how long until full weight bearing, physio requirements, any complications or other things worth noting. Also if your hardware was removed how many months later was it done.


Thanks in advance.


Offline Vickster

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Adrian Wilson is very well recognised for osteotomy etc. Heís in Basingstoke, less than an hour from London

https://profadrianwilson.co.uk

Youíd need to get all the details once you have a clear diagnosis

Cost wise itíll vary from patient to patient but I expect they wonít be as high as at a Central London Hospital

In the last 8 years or so, I donít recall any one in the U.K. on this forum posting about complex derotation

Other surgeons known to do osteotomy here, although you'd have to confirm their expertise is derotation rather than realignment
« Last Edit: June 18, 2018, 09:45:04 AM by Vickster »
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline The KNEEguru

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Offline MissC

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Hi Vickster thanks for your response. Wow 8 years is quite a long time. I thought this being a .co.uk forum there would be many people having done the derotational surgeries. Are they not commonly done in UK for adults?

Might you know if Prof Wilson does de-rotational osteotomies? It's hard doing research for this as many orthopedic websites or sections have separate links or different specialists for hip surgery and for knee surgery. It's not easy figuring out if a particular surgeon does surgery for femoral and/or tibial torsion which can affect both knees and hips. At least if I can get a correct diagnosis and plan of action then I can decide if I can go ahead with surgery or be given alternative options.

Thanks again.

Offline MissC

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@KneeGuru thanks I shall check out the website

Offline Vickster

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I think youíll need to contact the secretaries. All private surgeons have one.

Are you in the U.K. under a GP? If so, youíll more than likely need a referral. Or which country do you live?  I expect most hospitals have overseas liaison offices.

Most of the best known U.K. surgeons will be super specialised in knees or hips although some do replacements of both joints for example. The Royal National Orhopaedic hospital in the U.K. might have derotation specialists although probably more paediatric 

Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline Vickster

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« Last Edit: June 18, 2018, 06:46:23 PM by Vickster »
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline Clarkey

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The ROH in Birmingham has published this. Maybe Prof Snow does the surgeries or another surgeon in the list?

http://www.kneeguru.co.uk/KNEEnotes/primers/whos-who-knee-surgery/whos-who-osteotomy-knee-pain-angular-realignment

https://www.roh.nhs.uk/patient-information/large-joints/hips/13-230-femoral-osteotomy-adult-v1/file

Have never had to go through knee realignment surgery with Prof Snow, had my last 2 right knee arthroscopy under the his care. The nurses and Prof Snow theatre staff are really natural, friendly and passionate caring and easy to get on with, care for their patients from the moment you step into the hospital. Modern bright consultation suites only built a few years ago. One negative might be better seeing him privately for a consultation, waiting time is lengthy seeing him on the NHS.

http://www.sportinjuriesclinic.co.uk/surgeon

https://finder.bupa.co.uk/Consultant/view/90833/mr_martyn_snow

Speeds up the waiting time on the NHS seeing him privately, that I did a few years ago. Had my surgery at Birmingham ROH. Not sure with cut back if you would have to pay for the surgery privately or on health insurance? Think I paid £280 for first consultation and £180 for follow up consultation, might be more now?

Prof Snow is easy to get on with, very natural and friendly, engaging well with younger patients. No complaints to report, just high praise who is highly experienced and respected.

Also worth looking into seeing Mr Hussain who is also highly respected and experienced OS who specialises in knee realignment surgery. Have met a few people that have seen him all saying how friendly, caring and professional he was during their consultations and before going into theatre feel less anxious and nervous.

https://www.roh.nhs.uk/about-us/our-team/item/mr-hussain-2

Good luck with when you have tibial/femoral torsion surgery and finding the right OS.

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« Last Edit: June 18, 2018, 11:22:41 PM by Clarkey »
RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming